Organization
SUSAN ROBERTS, DDS, MS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M ROBERTS DDS, MS (DENTIST)
(817) 656-3999
Entity
Organization
Contact information
Practice address
5411 BASSWOOD BLVD, SUITE #201, FORT WORTH, TX 76137
(817) 656-3999
(817) 656-7862
Mailing address
5411 BASSWOOD BLVD, SUITE #201, FORT WORTH, TX 76137
(817) 656-3999
(817) 656-7862
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
155870
TX
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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